糖尿病视网膜病变和Helicobacter pylori感染之间的相关性:一个横截面的回顾性研究
Zhen-Rong Liu1, Ting Bao1, Gui-Jun Xue1
1Health Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
International journal of ophthalmology
|August 21, 2023
概括
杆菌 (Hp) 感染是糖尿病视网膜病变 (DR) 的危险因素. 虽然HP感染与DR相关,但它不会影响DR病变的严重程度. 根除HP可能有助于预防DR.
科学领域:
- 眼科医生 眼科 眼科
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 糖尿病视网膜病变 (DR) 是糖尿病患者视力丧失的主要原因.
- 杆菌 (Hp) 感染是一种常见的细菌感染,具有各种系统性影响.
- 需要进一步调查HP感染和DR之间的潜在联系.
研究的目的:
- 调查HP感染与DR的存在和严重程度之间的关联.
- 在大量体检人群中确定DR的风险因素.
主要方法:
- 对73824名健康检查参与者的横截面回顾分析.
- 参与者被分为糖尿病和非糖尿病组,并根据DR严重程度进一步分层 (NDR,NPDR,PDR).
- 使用后勤回归分析来评估DR和HP感染之间的相关性,考虑各种临床参数.
主要成果:
- 在糖尿病人和非糖尿病人之间观察到DR患病率的显著差异 (P<0.0001).
- 男性的性别,年龄,BMI,SBP,TG,LDL-C和HP感染被确定为DR的独立风险因素.
- 在DR病变的程度和HP感染之间没有发现显著的相关性 (P=0.7753).
结论:
- 血型冠状病毒感染与DR有显著的相关性,并被确定为危险因素.
- DR病变的严重程度与HP感染状况没有显著关联.
- 根除HP感染可能是预防DR的潜在策略.
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